Smokers who light up near North-east hospitals will face a fixed penalty fine of £50 from next year.
New Scottish Government legislation will make it illegal to smoke near a hospital, with those flouting the law issued either a fine of £50 or a court fine of up to £1,000.
NHS managers who allow people to smoke outside hospital buildings will also get a court fine of up to £2,500.
The act is expected to come into force in late 2017.
NHS Grampian chief executive Malcolm Wright says the health board is in the process of establishing what the new law means for them.
He said: “This new law will make it illegal to smoke on our hospital grounds from 2017.
“That comes with a whole set of consequences that we will need to talk through with our staff. It’s giving new responsibilities to the health board, but also means possible financial penalties for the health board.
“So we’ll be looking at this now and working our way through the regulations before they come in next year.”
ASH Scotland’s most recent YouGov survey showed three-quarters of adults in Scotland are in favour of smoke-free NHS grounds.
Sheila Duffy, chief executive of ASH Scotland, says the act is not about chasing fines, but changing attitudes.
She said: “Having smoke-free hospital grounds sends an important message that tobacco is an enemy of good health. This law is not about fining people, it’s about changing attitudes to tobacco, and recognising just how many people who are currently receiving NHS treatment have had their lives badly damaged by cigarettes.”
The new law, The Health (Tobacco, Nicotine etc. and Care) (Scotland) Act 2016, states current no-smoking zone perimeters at hospitals, which are indoor, will be extended to a distance of 15 metres from the building.
Sheila says the move will hopefully save many from the effects of second hand smoke outside hospital buildings.
She said: “This should help to protect people from smoke-drift by keeping hospital entrances and windows smoke-free.”
All NHS Grampian grounds have been smoke-free since April 2015.
Minister for Public Health Aileen Campbell said: “Making it an offence to smoke near hospital buildings is common sense.
“Hospitals are places people go to recover from illness, and they shouldn’t have to walk through clouds of smoke.”